| NPI | 1992271811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA RAMA SANAPATI Presiden Tr 812-573-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-04-30 |